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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/12/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Scott Gilbride PNONE (703) 329-9500 ac No Paul S Gilbride Insurance Agency, Inc. P.O. Box 4282 aoopaE s: Scott@Gilbridelnsurance.com INSURERS AFFORDING COVERAGE NAIC t: INSURER A: Alexandria VA 22303 INSURED INSURER B : INSURERC: The Olson Group, Ltd INSDRERD: 300 N. Washington Street INsuRERE; Beazley Insurance Company 37540 Suite 600 1 INSURER Alexandria VA 22314 COVERAGES CERTIFICATE NUMBER- RFVIRION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDLSUSR POLICY NUMBER MMIDDY EFF MWDDIYYXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCU $ KEN IE CLAIMS -MADE OCCUR PREMISES Ea occur ce $ MED EXP (Any oneperson) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑JEO CT OLOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per Person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(PeracddnC $ PROPERTY DAMAGE er accitlent $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACHOCCURRENCE S AGGREGATE $ EXCESS DAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION NDEMPLOYERTLIABILITY YIN PER OTH- STATUTE E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ $5,000,000 E Professional Liability VlOEB8201101 08/25/2020 08/25/2021 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Evidence of Coverage City of Santa Ana 20 Civic Center Plaza Santa Ana ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 92701 I 5;7� © 1988-2015 The ACORD name and logo are registered marks of ACORD a wt Aunagen ent UM$10K y+ �$ REVIEWED&pAPPROVEDBY: �` F41HYN11 ram. Wtv"t �'. Risk Management Analyst